Litza Christina Bodden, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5075 Pear Ridge Dr Apt 615
Dallas, TX 75287-3134

Phone

(972) 670-4429

NPI assigned

Oct 5, 2015

Last updated

Aug 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  TX

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1891165775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 PEAR RIDGE DR APT 615",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752873134",
            "telephone_number": "972-670-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 PEAR RIDGE DR APT 615",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752873134",
            "telephone_number": "972-670-4429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Cherry St Ste D",
            "address_purpose": "LOCATION",
            "city": "Kaufman",
            "state": "TX",
            "postal_code": "751421958",
            "country_code": "US",
            "telephone_number": "972-399-9381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "LITZA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-3362177",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Bock, OTD, OTR/L
• Elesa Bockenfeld, D.D.S.
• Thomas Michael Bockman, MD
• Carol Boctor
• Suresh Babu Boddapati, MBBS, MD
• Sreenand Boddu
• Michael Bodenheimer
• Pradeep Bodige, D.O.
• Evan Bodine, PH.D.
• Johanna Congleton Bodine, CNM

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.